"我需要成像吗?" 探索为什么患有非特异性慢性腰部疼痛的患者要求诊断仪器评估:一种现象学定性研究
Graziana Lullo1, Gabriele Giannotta2, Andrea Tamborrino1
1Department of Medicine and Health Science "Vincenzo Tiberio", University of Molise, Campobasso, 86100, Italy.
Musculoskeletal science & practice
|September 25, 2025
概括
患有慢性腰部疼痛 (cLBP) 的患者经常希望进行成像,即使没有说明,寻求放心和指导. 有效的患者教育对成像限制和替代性疼痛管理至关重要.
科学领域:
- 肌肉骨医学 肌肉骨医学
- 诊断成像诊断成像的使用
- 患者心理学 患者心理学
背景情况:
- 慢性非特异性腰部疼痛 (cLBP) 影响着大量人群.
- 患有cLBP的患者经常要求成像,有时没有明确的临床症状.
- 了解患者的信仰是适当的护理途径的关键.
研究的目的:
- 在临床上没有指示时,探索患者对cLBP诊断成像的观点.
- 确定影响成像要求的患者期望和信仰.
主要方法:
- 与被诊断患有cLBP的患者进行了半结构面试.
- 应用了主题分析,以确定患者反应中的反复出现的主题.
主要成果:
- 三个主要主题出现了:关于疼痛原因的认知失调,成像作为治疗后的指南,以及患者对成像结果的多样化反应 (放心与焦虑).
- 参与者表示需要"了解疼痛的原因",尽管他们承认疼痛的多因素性质.
- 在保守治疗失败后,成像被认为是一种有用的工具.
结论:
- 对于非特异性cLBP的诊断成像的局限性,对患者的教育至关重要.
- 医疗保健提供者应该加强关于成像作用的沟通,并促进替代性疼痛管理策略.
- 解决患者的信念可以改善共享决策和优化治疗结果.
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